Clinicians are the one who are involved in most stressful events. Compassion fatigue comprises of two components-burnout and secondary traumatic stress. Up to one third of practicing clinicians could be expected to be suffering from burn out if assessed cross sectional. More importantly there has been an increasing trend in the emotional exhaustion of clinicians over the years. There is paucity of literature in this area, especially in the Indian setting. AIM: Identifying 'burn out' and 'compassion fatigue' among clinicians involved in care of individuals suffering from medical illness. MATERIAL AND METHODS: A total of 100 clinicians were included in the study. A semi structured questionnaire was administered to gather information related to personal & professional details of the study participants. Professional Quality of Life Scale (Pro QoL Version V) was used to assess burnout, compassion satisfaction and secondary traumatic stress. Analysis was carried out using the SPSS. RESULTS: Females had higher compassion satisfaction (CS) & less burn out (BO) compared to males. Clinicians working with both teaching and non-teaching institute had higher CS compared to clinicians working only in private practice or associated with teaching institute. Clinicians from dental field had higher CS compared to clinicians from medical field. Clinicians from non-surgical field had higher CS compared to surgeons. Increase in the number of hours spent in clinical practice decreases CS & increases BO. CONCLUSION: Clinicians are the first contact for any patients & gets affected by their physical as well as mental trauma. Clinicians are exposed to great level of stress & traumatic events in their day to day activity & handle the burden of disease & deceased. Thus it is necessary to know the level of burden a clinician is carrying & find out the way to improve the life style & the patient care.

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Objectives: To compare the effects of thiopentone sodium and propofol as an intravenous anaesthetic agent in modified ECT. Methods: 100 patients of ASA I & II grade were randomly assigned in to two groups. Both groups were premedicated in ususal manner. Patients in Group A were induced with inj. thiopentone sodium 3-5mg/kg and in Group B inj. Propofol 1.5-2mg/kg. Then, Inj. Succinyl choline 0.5-1mg/kg was given. Patients were ventilated with 100% oxygen with bain circuit and mask. Shock was given after putting bite block. Patients were again ventilated till spontaneous respiration after seizures. Results: Propofol is better induction agent as compared to thiopentone sodium in terms of faster induction, better haemodynaemic stability, no significant effect on seizure duration, early recovery without any side effects. Conclusion: Propofol in the dosage of 1.5-2 mg/kg body weight intravenously can be safely used for modified ECT in ASA grade I and II pateints. Fast, smooth induction, better hemodynamics, early smooth recovery, antiemetic property and uncompromised therapeutic outcome makes propofol as an agent of choice for day care procedure. Though there is reduced seizure duration with Propofol as compared to thiopentone, there is no effect on outcome of the therapy or effectiveness of ECT.

Background and Aim: Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed psychiatric disorders of childhood. Teachers can play a key role in identifying and supporting students with ADHD. In order to fulfill this important role, teachers must have explicit knowledge about ADHD. Teachers are seen as one of the most valuable sources of information concerning the referral and diagnosis of ADHD. They also have the responsibility for creating an environment conducive to academic, social, and emotional success for children with ADHD. This study was aimed at assessing the knowledge and misperceptions of ADHD of primary school teachers in the Vadodara district of Gujarat, India. Materials & Methods: Total 491 school teachers participated in the study. The Knowledge of Attention Deficit Disorder Scale (KADDS) along with a demographic questionnaire was used as the survey instruments to collect data. Descriptive statistics and correlation tests were used to analyze the data. Result: Results indicated that teachers’ knowledge of ADHD was insufficient. A significant difference in knowledge was found between Urban & Rural (0.00429); Gujarati & English medium school teachers (p=0.0013); Government & private school teachers (p=0.001). Conclusion: Lack of knowledge & prevalence of misperception is obvious in primary school teachers who are the first responders of such patients (kids). Improving teachers’ standards & understanding can help significantly in early diagnosis & improving the outcome.

Background: Medical, dental and paramedical post-graduate students are an essential part of multi-specialty teaching institutes where resident doctors are the ones who come in the first contact with the patients. In this study emotion of residents was measured through their anger. Anger has negative impacts on daily life, doctor-patient relationships. Throughout the post-graduation program, students experience stress and burn out. Aim: The study was conducted with an aim to measure the level of anger amongst the post-graduate medical, dental and paramedical students at Sumandeep Vidyapeeth University, Vadodara, Gujarat, India. Materials and Methods: After obtaining informed and written consent, 349 subjects were assessed through a semi-structured proforma and clinical anger scale to assess the level of anger. It was a cross-sectional single interview study. Enrolment of participants done for the tenure of 1 year from 2013 to 2014 and results assessed. At the end of the study, all CAS (clinical anger scale) parameters compared medical, dental and paramedical groups. Data analyzed through the SPSS v16 software package; One way ANOVA and independent t-test was applied. Results: The overall anger was higher among post-graduate students. Post-graduate medical students had higher anger compared to paramedical post-graduate students. Female participants scored significantly lower on clinical anger compared to male participants. Post-graduates doing MD/MS were having significantly higher anger than post-graduates of MDS (p=0.002), MPT (0.000). Married participants scored lower on clinical anger compared to unmarried participants. Conclusion: Overall anger is high in medical post-graduate students which have negative implications on doctor-patient relationships and patient care can get compromised so it is necessary to find the ways through which we can lower the anger.